scholarly journals Perbedaan Indeks Trombosit (PDW, MPV, P-LCR, PCT) dan Jumlah Trombosit Antara Pasien Infeksi Dengue Primer dan Sekunder Di RSUD Dr. H. Abdul Moeloek Provinsi Lampung

2021 ◽  
Vol 6 (1) ◽  
pp. 36-45
Author(s):  
Hidayat Hidayat ◽  
Tusy Triwahyuni ◽  
Zulfian Zulfian ◽  
Vita Lestari Ayuningsih

Demam berdarah dengue termasuk penyakit endemik yang disebabkan oleh virus dengue. Manifestasi klinis ditandai oleh trombositopenia. Trombositopenia terjadi melalui mekanisme supresi sumsum tulang, destruksi dan pemendekan masa hidup trombosit. Selain jumlah trombosit, terdapat indeks trombosit yang diketahui sebagai aktivasi trombosit yaitu PDW, MPV, P-LCR dan PCT. Tujuan penelitian untuk mengetahui perbedaan indeks trombosit (PDW, MPV, P-LCR, PCT) dan jumlah trombosit pada pasien  infeksi dengue primer dan sekunder di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Penelitian ini menggunakan metode analitik cross-sectional. Populasi yaitu pasien infeksi dengue primer dan sekunder menggunakan metode total sampling dengan jumlah sampel sebanyak 35 pasien. Data diperoleh dari rekam medis di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Analisis data dengan uji independent T test dan uji Mann Whitney. Dari 35 data didapatkan hasil yang terinfeksi dengue primer sebanyak 13 orang (37,1%) dan 22 orang (62,9%) terinfeksi dengue sekunder. Median PDW infeksi dengue primer 9,7±1,24% dan sekunder 10,75±1,87%. Median MPV infeksi dengue primer 9,7±2,25fL dan sekunder 10,087±0,84fL. Rerata P-LCR infeksi dengue primer 20,58±7,93% dan sekunder 25,33±6,84%. Median PCT infeksi dengue primer 0,17±1,07% dan sekunder 0,18±0,07%. Rerata jumlah trombosit infeksi dengue primer 169.523,08±57.590,713/µL dan sekunder 179.318,18±75.082,422/µL. Hasil uji statistik didapatkan nilai p; PDW nilai p=0,068, MPV nilai p=0,538, P-LCR nilai p=0,101,  PCT nilai p=0,973 dan jumlah trombosit nilai p=0,393. Tidak terdapat perbedaan bermakna antara indeks trombosit (PDW, MPV, P-LCR, PCT) dan jumlah trombosit untuk infeksi dengue primer dengan sekunder. Dengue hemorrhagic fever is endemic disease caused by dengue virus.. Clinical symptomp marked by trombositopenia. Trombositopenia occurs through in mechanism of bone marrow suppresion, destruction and shortening of platelet life span. Morever platelet count, there are platelet index who known as platelet activator are PDW, MPV, P-LCR and PCT. This research to determine the difference platelet index (PDW, MPV, P-LCR, PCT) and platelet count between primary and secondary dengue infection patient at Regional General Hospital Dr. H. Abdul Moeloek Lampung Province. The research use analytic observational method with cross-sectional research design. Population are patient who diagnosed with primary and secondary dengue infection and using total sampling method for sampling with 35 patient. Data obtained from Regional General Hospital Dr. H. Abdul Moeloek Lampung Province. Data were analyzed by independent T test and Mann Whitney test. Based on 35 data from medical records, the patient who diagnosed as primary dengue infection are 13 people (37,1%) and 22 people (62,9%) who diagnosed as secondary dengue infection. Median of PDW primary dengue infection was  9,7±1,24% and secondary dengue infection was 10,75±1,87%. Median of MPV primary dengue infection was 9,7±2,25fL and secondary dengue infection was 10,087±0,84fL. Mean of P-LCR primary dengue infection was 20,58±7,93% and secondary dengue infection was 25,33±6,84%. Median of PCT primary dengue infection was 0,17±1,07% and secondary dengue infection was 0,18±0,07%. Mean of platelet count primary dengue infection was 169.523,08±57.590,713/µL and secondary dengue infection was 179.318,18±75.082,422/µL. Based on the result of statistical analyisis data, PDW p value =0,068, MPV p value=0,538, P-LCR p value=0,101,  PCT p value=0,973 and platelet count p value=0,393.There are no significant differences platelet index (PDW, MPV, P-LCR, PCT) and platelet count in primary with secondary dengue infection.

2020 ◽  
Vol 1 (1) ◽  
pp. 9-12
Author(s):  
Heru Purnomo ◽  
Mu'awanah Mu'awanah ◽  
Mohammad Nur Mudhofar

ABSTRACTBackground : Early mobilization is some effort to defend autonomy as early as possible by guiding the victim for defending fisiologis function (Carpenito, 2001).  According Smeltzer Bare (2002) in patient with colon inflammation disturbance, explained that change position encourage doing passive and active exercise to depend muscle and prevent tromboembolic.  Activity limitation changed suitable with daily necessary.  General anesthesia can cause decreasing colon movement with stimuli parasympatic obstruction in colon muscle.  Client with local anesthesia will experience same case.  Direction surgery which involved intestinal can cause stopping intestinal while movement. Surgery action with general anesthesia in RS.DR.R.Soeprapto Cepuoften was being done in juny – December 2012 period reported 166 cases.Objective : This study to determine the difference of early mobilization 6 hours and 8 hours toward intestine peristaltic on post operation patient with general anesthesia at RSUD dr. R. Soeprapto Cepu. Methods : Method of this research  used quasi eksperimental design and taking sampling method was stratified random sampling, research was done into 20 respondences.  Collecting data technique using observation technique.  Statistic analysis used Independent t-test exam, organize and data analysis with computer program assist SPSS for windows 16.Result : The result analysis was shown with independent t-test exam was be found t hitung 0,662, t table 2,101, p value 0,641.  Where is t hitung t table (0,662 2,101) and p value alpha (0,641 0,05) above can be conclude Ho was accepted.  Its mean its’nt difference early mobilization 6 hours and 8 hours about peristaltic of intestine for post operation patient with general anesthesia in dr.R.Soeprapto Cepu Hospitals.Conclusion : Advice we recommend early mobilization of patients immediately after surgery with general anesthesia, according to the results of this study was able to mobilize patients early in the post anesthesia 6 hours. Keywords: mobilisation, peristaltic of intestine, post operation, general anesthesia.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Wayan Erawan ◽  
H. Opod ◽  
Cicilia Pali

Abstrak: Kecemasan adalah suatu sinyal yang menyadarkan, ia memperingatkan bahaya yang mengancam dan memungkinkan seseorang mengambil tindakan untuk mengatasi ancaman. Angka kejadian dari kecemasan perioperative diketahui 11% - 80% diantara pasien dewasa. Tujuan penelitian untuk mengetahui perbedaan proporsi pasien laki-laki dan perempuan pre operasi laparatomi yang mengalami kecemasan, dan mengetahui perbedaan tingkat kecemasan pasien laki-laki dan perempuan pre operasi laparatomi. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Pengambilan sampel dengan teknik non probability sampling yaitu consecutive sampling. Metode pengumpulan data dengan menggunakan kuesioner  Hamilton Anxiety Scale (HARS). Penelitian dilakukan pada 32 responden di RSUP Prof.dr.R.D.Kandou Manado pada bulan november sampai desember 2012. Analisis data menggunakan uji statistik yaitu independent sampel T-Test. Hasil penelitian didapatkan responden laki-laki, tidak cemas (40%), cemas ringan (26,67%), cemas sedang (33,33%), sedangkan pada responden perempuan diperoleh hasil, tidak cemas (23,53%), cemas ringan (17,65%), cemas sedang (35,29%), cemas berat (23,53%). Berdasarkan uji statistik nilai P-value sebesar 0,024, berarti H0 ditolak dan Ha diterima, artinya ada perbedaan tingkat kecemasan antara pasien laki-laki dan perempuan pre operasi laparatomi. Kata kunci: Kecemasan, laparatomi, laki-laki, perempuan.     Abstract: Anxiety is a signal that disenchants; warns threatening dangers and gives someone the chance to take action in order to overcome the incoming threats. The incidence of perioperative anxiety has been reported with range 11% to 80% among adult patients. The study objective is to determine the difference in proportion between male and female pre-laparotomy surgery patients who experience anxiety, and know the difference in the level of anxiety of male and female pre-laparotomy surgery patients. This observation is an analytic study with cross sectional approach. The sampling technique is by using non probability sampling; which is consecutive sampling. The data colletion method is by using questionnaire, Hamilton Anxiety Scale (HARS). The observation was done toward 32 respondents in Prof.dr.R.D.Kandou General Hospital from November to December 2012. The data analysis is by using statistical test; independent sample T-test. The observation among male respondents  results in without anxiety (40,%), with mild anxiety (26,67%), with moderate anxiety (33.33%), while among female respondents results in without anxiety (23.53%), with mild anxiety (17.65%), with moderate anxiety (35.29%), and with severe anxiety (23.53%). According to the statistical test, resulting in P-value of 0.024, that H0 is rejected and Ha is accepted. In conclusion, there are differences in the level of anxiety between male and female pre-laparotomy surgery patient. Keyword: anxiety, laparotomy, male, female.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Andrew O. E. Hukom ◽  
Sarah M. Warouw ◽  
Maya Memah ◽  
Arthur E. Mongan

Abstract: Dengue hemorrhagic fever (DHF) has been a global problem especially for children. There are two main pathophysiological changes occur in DHF. The first one is an increased vascular permeability and the second one is the disorder of haemostasis. Haematocrit and thrombocyte count are laboratory parameters that are needed for monitoring the development of DHF. This was a retrospective analytical study with a cross sectional design. Samples were patients who were diagnosed as dengue hemorrhagic fever in RSUP Prof. Dr. R.D. Kandou Manado in 2012. Inclusion criteria were patients aged <15 years, were diagnosed based on WHO 1997, and were already tested for haematocrit test and platelet count. Data obtained from the medical records were analyzed by using t test and Spearman’s correlation test. There were 137 children with DHF in 2012, and as samples we used 62 children. The t-test of haematocrit values showed a P-value 0.0001 which meant that there was a significant increase of haematocrit among DHF patients. The t-test of thrombocyte counts showed a P-value 0.0001, which meant that there was a significant decrease of thrombocyte count among the DHF patients. The Spearman test showed a correlation of haematocrit level and thrombocyte counts among DHF patients with a P-value 0.133. Conclusion: There was no significant correlation between haematocrit and thrombocyte count among dengue hemorrhagic fever patients.Keywords: dengue hemorrhagic fever, children, haematocrit, thrombocyte coountAbstrak: Demam berdarah dengue (DBD) telah menjadi masalah masyarakat internasional terutama pada anak-anak. Dua perubahan patologik utama pada penyakit DBD yaitu peningkatan permeabilitas kapiler dan gangguan hemostasis. Hematokrit dan hitung trombosit merupakan parameter laboratorik yang diperlukan untuk memantau perkembangan DBD. Penelitian ini bersifat analitik retrospektif dengan desain potong lintang. Sampel penelitian ialah pasien anak yang terdiagnosis DBD di RSUP Prof. Dr. R. D. Kandou Manado selama periode tahun 2012. Kriteria inklusi ialah pasien berusia <15 tahun dan telah terdiagnosis menurut kriteria WHO 1997, serta melakukan pemeriksaan laboratorium hematokrit dan trombosit. Penelitian ini menggunakan catatan rekam medik, dan untuk analisis statistik digunakan uji t dan Spearman’s correlation test. Dari 137 anak dengan DBD pada periode 2012, diambil 62 anak sebagai sampel. Melalui uji t untuk hematokrit didapatkan nilai P = 0,0001 yang menunjukkan terdapat peningkatan bermakna nilai hematokrit pada pasien DBD. Melalui uji untuk jumlah trombosit didapatkan nilai P = 0,0001, yang menunjukkan terdapat penurunan bermakna nilai jumlah trombosit pada pasien DBD. Hasil uji Spearman terhadap korelasi nilai hematokrit dan nilai jumlah trombosit memperlihatkan nilai P = 0,133 (≥ α = 0,05). Simpulan: Tidak terdapat hubungan bermakna antara nilai hematokrit dan nilai jumlah trombosit pada pasien demam berdarah.Kata kunci: demam berdarah dengue,anak, hematokrit, trombosit


2018 ◽  
Vol 5 (2) ◽  
pp. 113-117
Author(s):  
Kadek Agus Widya Adi Putra ◽  
I Nyoman Wande ◽  
Putu Ayu Parwati

ABSTRAK Pendahuluan Cabang olahraga yang ditekuni atlet menentukan tingkat aktivitas fisiknya. Kebutuhan kalsium meningkat terutama pada individu yang melakukan aktivitas fisik (olahraga) yang cukup dan jenis olahraga yang dapat meningkatkan densitas tulang. Jenis olahraga yang dapat mempengaruhi kadar kalsium darah adalah olahraga yang membuat tubuh bekerja melawan gravitasi contohnya seperti olahraga panjat tebing. Tujuan Tujuan penelitian ini yaitu untuk mengetahui  perbedaan kadar kalsium darah pada atlet panjat tebing dan bukan atlet di Kota Denpasar. Metode Penelitian ini menggunakan pendekatan cross sectional. Sampel yang digunakan sebanyak 15 orang atlet panjat tebing dan 15 orang mahasiswa STIKes Wira Medika Bali serta lingkungan sekitarnya. Hasil Hasil dari penelitian ini menunjukan bahwa pada responden atlet panjat tebing memiliki kadar kalsium darah normal sebanyak 15 orang (100%) sedangkan pada responden bukan atlet memiliki kadar kalsium darah normal sebanyak 14 orang ( 93.3%) dan kadar kalsium darah rendah sebanyak 1 orang (6.7%). Diskusi Hal tersebut dikaitkan dengan aktivitas fisik yang terstruktur dilakukan responden atlet panjat tebing dibandingkan dengan responden bukan atlet yang jarang melakukan aktifitas fisik. Simpulan Berdasarkan hasil uji Independent Sampel T-Test diperoleh p value sebesar 0.000 dimana p < 0.005 yang berarti H0 ditolakdan Ha diterima yaitu ada perbedaan kadar kalsium darah pada atlet panjat tebing dan bukan atlet di Kota Denpasar. Saran untuk responden bukan atlet memperhatikan pola makan dan aktifitas fisik untuk mencegah osteoporosis di masa tua.  Kata kunci : Kadar Kalsium Darah, Atlet panjat tebing, Bukan atlet.             ABSTRACT Introduction Athletic sports branches determine the level of physical activity. The need for calcium is increased especially in individuals who have sufficient physical activity (sports) and sports that can increase bone density. The type of exercise that can affect blood calcium levels is a sport that makes the body work against gravity such as rock climbing exercise. Purpose The purpose of this study is to determine the difference of blood calcium levels in athletes rock climbing and not athletes in Denpasar City. Method This research use cross sectional approach. The sample used as many as 15 people climbing athletes and 15 students STIKes Wira Medika Bali and the surrounding environment. Result The results of this study showed that athletes climbing rock climbs have normal blood calcium levels of 15 people (100%) whereas in non-athlete respondents have normal blood calcium levels as many as 14 people (93.3%) and low blood calcium levels of 1 person (6.7 %). Discuss It is associated with the physical activity of the athletes who are structured rock climbing compared with non-athletes who rarely do physical activity. Conclusion Based on the results of the Independent Samples T-Test obtained p value of 0.000 where p <0.005 which means H0 rejected and Ha accepted that there is a difference in blood calcium levels in athletes rock climbing and not athletes in Denpasar City. Suggestions for non-athlete responders pay attention to diet and physical activity to prevent osteoporosis in old age. Keywords: Blood Calcium Level, Climbing Athlete, Not athlete.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Helen Evelina Siringoringo ◽  
Yusrawati Yusrawati ◽  
Eva Chundrayetti

AbstrakPreeklampsia-eklampsia sampai saat ini masih merupakan disease of theory. Kelainan yang terjadi pada penyakit ini adalah disfungsi endotel yang dapat disebabkan oleh perubahan kadar profil lipid. Tujuan penelitian ini adalah mengetahui perbedaan rerata kadar profil lipid pada preeklampsia dengan kehamilan normal pada etnik Minangkabau. Penelitian observasional dengan rancangan cross sectional ini dilakukan di RSUP dr. M. Djamil Padang, RS Reksodiwiryo Padang dan UPTD Laboratorium Kesehatan Daerah Sumatera Barat. Subjek terdiri dari 2 kelompok yang diambil secara consecutive sampling dengan jumlah masing-masing 27 orang. Pemeriksaan profil lipid dilakukan dengan metode kalorimetri. Analisis data dilakukan secara uji statistik independent t-test. Hasil penelitian diperoleh rerata kadar total kolesterol pada kelompok preeklampsia dan kehamilan normal adalah 270,19+68,955 mg/dL dan 247,56+44,415 mg/dL dengan nilai p=0,158, rerata kadar trigliserida pada kelompok preeklampsia dan kehamilan normal adalah 296,07±157,993 mg/dL dan 272,89±84,608 mg/dL dengan nilai p=0,504, rerata kadar HDL pada kelompok preeklampsia dan kehamilan normal adalah 51,93±19,882 mg/dL dan 63,33±11,222 mg/dL dengan nilai p=0,012, rerata kadar LDL pada kelompok preeklampsia dan kehamilan normal adalah 159±52,038 mg/dL dan 129,67±38,692 mg/dL dengan nilai p=0,023, rasio perbandingan LDL/HDL pada kelompok preeklampsia dan kehamilan normal adalah 3,86 dan 2,04. Dari hasil penelitian dapat disimpulkan pada kedua kelompok tidak ada perbedaan kadar kolesterol total dan trigliserida, tetapi ada perbedaan kadar HDL dan LDL , rasio perbandingan LDL/HDL lebih tinggi pada preeklampsia daripada kehamilan normal.Kata kunci: preeklampsia, total kolesterol, trigliserida, HDL, LDL, etnik Minangkabau AbstractPreeclampsia-eklampsia still being a disease of theory. One of abnormality accured in preeclampsia is endothelial disfunction that is caused by changes in lipid profile. The objective of this study was to find out the difference of lipid profile mean level in preeclampsia and normal pregnancy at Minangkabau Ethnic. This was an observational study with cross-sectional design at  dr. M.djamil Padang Hospital, dr Reksodiwiryo Hospital and UPTD regional health laboratory of West Sumatera. The subjects consist of two groups, choosen by consecutiteve sampling. Each group consist of 27 subjects. Lipid profile was examined by using independent calorimetric methode. The data analyzed statistically by independent t-test. The result of this study showed mean level of total cholesterol in preeclamsia and normal pregnancy were 270.19±68.955 mg/dL and 247.56±44.415 mg/dL with p-value 0.158. The mean levels of triglyceride in preeclampsia and normal pregnancy were 296.07±157.993 and 272.89±44.415 mg/dL with p-value 0.504. The mean level of HDL in preeclampsia and normal pregnancy were 51.93±19.882 mg/dL and 63.33 mg/dL p-value 0.012. The mean level of LDL in two groups were 159±52.038 mg/dL and 129.67±38.692 mg/dL with p-value 0.023 and the mean levels of LDL/HDL ratio were 3.86±3,09 mg/dLin  preeclampsia and 2,08±0,64 in normal pregnancy. It can be concluded that there is no significant difference in total cholesterol and triglyseride between preeclampsia and normal in HDL and LDL and there is significant difference in LDL/HDL ratio between preeclampsia and normal pregnancy at Minangkabau Ethnic.Keywords: preeclampsia, total cholesterol, triglyceride, HDL, LDL, Minangkabau Ethnic


2018 ◽  
Vol 1 (2) ◽  
pp. 114
Author(s):  
Wahdaniah Wahdaniah ◽  
Sri Tumpuk

Abstract: Routine blood examination is the earliest blood test or screening test to determine the diagnosis of an abnormality. Blood easily froze if it is outside the body and can be prevented by the addition of anticoagulants, one of which Ethylene Diamine Tetra Acetate (EDTA). Currently available vacuum tubes containing EDTA anticoagulants in the form of K2EDTA and K3EDTA. K3EDTA is usually a salt that has better stability than other EDTA salts because it shows a pH approaching a blood pH of about 6.4. The purpose of this research is to know the difference of erythrocyte index results include MCH, MCV and MCHC using K3EDTA anticoagulant with K2EDTA. This research is a cross sectional design. This study used venous blood samples mixed with K2EDTA anticoagulant and venous blood mixed with K3EDTA anticoagulants, each of 30 samples. Data were collected and analyzed using paired different test. Based on data analysis that has been done on MCH examination, p value <0,05 then there is a significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value. Then on the examination of MCV and MCHC obtained p value <0.05 then there is no significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value.Abstrak: Pemeriksaan darah rutin merupakan pemeriksaan darah yang paling awal atau screening test untuk mengetahui diagnosis suatu kelainan. Darah mudah membeku jika berada diluar tubuh dan bisa dicegah dengan penambahan antikoagulan, salah satunya Ethylene Diamine Tetra Acetate (EDTA). Dewasa ini telah tersedia tabung vakum yang sudah berisi antikoagulan EDTA dalam bentuk  K2EDTA dan  K3EDTA. K3EDTA  biasanya berupa garam yang mempunyai stabilitas yang lebih baik dari garam EDTA yang lain karena menunjukkan pH yang mendekati pH darah yaitu sekitar 6,4. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan hasil indeks eritrosit meliputi MCH, MCV dan MCHC menggunakan antikoagulan K3EDTA dengan K2EDTA. Penelitian ini merupakan penelitian dengan desain cross sectional. Penelitian ini menggunakan sampel darah vena yang dicampur dengan antikoagulan K2EDTA dan darah vena yang dicampur dengan antikoagulan K3EDTA, masing-masing sebanyak 30 sampel. Data dikumpulkan dan dianalisis menggunakan uji beda berpasangan. Berdasarkan analisis data yang telah dilakukan pada pemeriksaan MCH didapatkan nilai p < 0,05 maka ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit. Kemudian pada pemeriksaan MCV dan MCHC didapatkan nilai p < 0,05 maka tidak ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit.


Author(s):  
Muhammad Sufriannor ◽  
Hardiono Hardiono ◽  
Juanda A. Zuraini

Abstract: Knowledge, Attitude with Merchants Participation In The Management of Market Waste. In Banjarbaru city waste volume transported by TPS officers per day about 90 tons / day to TPA. One of the source of waste is the market which is a big problem because most of the market waste is wet garbage. So these waste piles become flies nest, rats, insects.Waste management is also influenced by the participation of merchants that were still lacking awareness to play an active role in the implementation. The purpose of this study is to determine the relations of knowledge, attitude with the participation of merchants in waste management in the Bauntung market Banjarbaru. The type of this research is analytical survey research with Cross Sectional approach. The population in this study is all merchants in the Bauntung market Banjarbaru. The sample is 85 respondents, obtained by proportional sampling method. The research variables consist of independent variables, namely knowledge and attitude while the dependent variable is the participation of merchants in waste management. Data analysis used is univariat and bivariate (using Chi Square with α = 0,05). The result of the research stated that there is no correlation between knowledge level and participation (p-value 0,747> 0,05). There is a correlation between attitudes with participation (p-value 0.001


Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah ◽  
Rini Mayasari Rini Mayasari

ABSTRACT Low Birth Weight (LBW) was defined as infants born weighing less than 2.500 grams. WHO estimates that nearly all (98%) of the five million neonatal deaths in developing countries. According to City Health if Palembang Departement, infant mortality rate (IMR) in the year 2007 is 3 per 1000 live births, in 2008 four per 1000 live births, and in 2009 approximately 2 per 1000 live births. The cause of LBW is a disease, maternal age, social circumstances, maternal habits factors, fetal factors and environmental factors. LBW prognosis depending on the severity of the perinatal period such as stage of gestation (gestation getting younger or lower the baby's weight, the higher the mortality), asphyxia / ischemia brain, respiratory distress syndromesmetabolic disturbances. This study aims to determine the relationship between maternal age and educations mothers of pregnancy with the incidence of LBW in the General Hospital Dr Center. Mohammad Hoesin Palembang in 2010 This study uses the Analytical Ceoss Sectional Survey. The study population was all mothers who gave birth in public hospitals center Dr. Mohammad Hoesin Palembang in 2010 were 1.476 mothers gave birth with a large sample of 94 studies of maternal taken by systematic random sampling, ie research instument Check List. Data analysis was performed univariate and bivariate. The results of this study show from 94 mothers of LBW was found 45 people (47,9%) Which has a high risk age 26 LBW ( 27,7%) while the distance of low educations LBW (55,3%). From Chi-Square test statistic that compares the p value with significance level α = 0,05 showed a significant correlation between maternal age, where the p value = 0,002, of education mothers of pregnancy p value = 0,003 with LBW. In the general hospital center Dr. Mohammad Hoesin Palembang ini 2010. Expected to researches who will come to examine in more depth.   ABSTRAK Bayi Berat Lahir Rendah (BBLR) telah didefinisikan sebagai bayi lahir kurang dari 2.500 gram. WHO memperkirakan hampir semua (98%) dari 5 juta kematian neonatal di negara berkembang. Menurut Data Dinas Kesehatan Kota Palembang, Angka Kematian Bayi (AKB) pada tahun 2007 yaitu 3 per 1.000 kelahiran hidup, pada tahun 2008 4 per 1.000 kelahiran hidup, dan pada tahun 2009 sekitar 2 per 1.000 kelahiran hidup. Penyebab BBLR adalah penyakit, usia ibu, keadaan sosial, faktor kebiasaan ibu, dan faktor lingkungan. Prognosis BBLR tergantung dari berat ringannya masa perinatal misalnya masa gestasi (makin muda masa gestasi atau makin rendah berat bayi, makin tinggi angka kematian), asfiksia atau iskemia otak, sindrom gangguan pernafasan, gangguan metabolik. Penelitian ini bertujuan untuk mengetahui hubungan antara umur dan pendidikan ibu dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Penelitian ini menggunakan survey analitik Cross sectional. Populasi penelitian ini adalah semua ibu yang melahirkan di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2010 sebanyak 1.476 ibu melahirkan dengan besar sampel penelitian 94 ibu melahirkan yang diambil dengan tehnik acak sistematik, instrumen penelitian yaitu check list. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukkan dari 94 ibu didapatkan kejadian BBLR 45 orang (47,9%) yang memiliki umur resiko tinggi 26 kejadian BBLR (27,7%) sedangkan yang pendidikan rendah 52 kejadian BBLR (55,3%). Dari statistik uji Chi-square yang membandingkan p value dengan tingkat kemaknaan α = 0,05 menunjukkan bahwa ada hubungan yang bermakna antara umur ibu p value (0,002) , pendidikan p value (0,003) dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Diharapkan bagi peneliti yang akan datang untuk meneliti lebih mendalam.


2019 ◽  
Vol 4 (1) ◽  
pp. 17-29
Author(s):  
Nurlina ◽  
Nursyamsi

Postoperative surgery and trauma are stressors that can cause physiological and psychological reactions to the patient. Psychological reactions in the form of anxiety usually arise in the preoperative stage when the patient anticipates surgery and at the postoperative stage because of pain and discomfort, changes in body image and bodily functions. Handling anxiety with spiritual aspects in the form of dzikir therapy is an effort to reduce anxiety levels in patients pre and post surgery. This study used a pre-experimental research design with a one group pre and posttest design study design. The sample of this study was 15 respondents in the experimental group taken by consecutive sampling method. The experimental group received a dzikir therapy 1 time treatment with a duration of 12 minutes. Data collection is done using a questionnaire sheet. Analysis of the data used in this study is univariate and bivariate by using a paired sample t test. The results of the analysis used a statistical test paired sample t test with a level of confidence (α = 0.05). Based on the results of this test, the p value is 0,000, thus p <α (0,000 <0,05). The conclusion of this study is that there is an effect of giving dzikir therapy to the level of anxiety in patients pre and post surgery. Researchers suggest that the results of this study can be used as a reference for application in the scope of nursing services, especially handling anxiety.


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